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NPI Code Detail

MEDICARE: EDICO HEALTH SERVICES, INC.

MEDICARE: EDICO HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1251G00000XOTHERNVHOSPICE AGENCY

General Provider Information

NPI Number : 1528173135
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDICO HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 3365 W CRAIG RD
Second Line : SUITE 19
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5112
Country : US
Telephone Number : 702-645-0745
Fax Number : 702-697-2006
Provider Business Practice Location Address
First Line : 3365 W CRAIG RD
Second Line : SUITE 19
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5112
Country : US
Telephone Number : 702-645-0745
Fax Number : 702-697-2006
Authorized Official
Title or Position : PRESIDENT
Name : MRS. EDITH P. AVANZADO
Credential :
Telephone Number : 626-893-0394
Provider Enumeration Date : 08/21/2006
Last Update Date : 08/22/2020

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Directions to “EDICO HEALTH SERVICES, INC. ” Practice Location

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